AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (56)

•Diagnostic Errors (99)

•Identification Errors (56)

•Discontinuities, Gaps, and Hand-Off Problems (229)

•Fatigue and Sleep Deprivation (66)

•Medication Safety (736)

•Medical Complications (246)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (233)

•Transfusion Complications (10)

•Psychological and Social Complications (74)

Origin/Sponsor

•Asia (41)

•Australia and New Zealand (64)

•Central and South America (4)

•Europe (216)

•North America (1608)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (735)

•Active Errors (285)

•Latent Errors (76)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (390)

•Legal and Policy Approaches (69)

•Error Reporting and Analysis (577)

•Communication Improvement (394)

•Human Factors Engineering (170)

•Teamwork (147)

•Specialization of Care (158)

•Logistical Approaches (198)

•Culture of Safety (196)

•Technologic Approaches (382)

•Education and Training (366)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

•Medicine (1379)

•Nursing (338)

•Pharmacy (252)

Target Audience

•Health Care Providers (1555)

•Health Care Executives and Administrators (1649)

•Non-Health Care Professionals (664)

•Patients (18)

Setting of Care

•Hospitals (1310)

•Psychiatric Facilities (10)

•Residential Facilities (49)

•Ambulatory Care (215)

•Outpatient Surgery (12)

•Patient Transport (15)

1 - 20 of 1944

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STUDY

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.

Mertens WC, Brown DE, Parisi R, et al. J Patient Saf. 2008;4:195-200.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.

STUDY

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

Pugh MJ, Fincke BG, Bierman AS, et al. J Am Geriatr Soc. 2005;53:1282-1289.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

STUDY

The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.

Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.

Mehta RH, Alexander JH, Van de Werf F, et al. JAMA. 2005;293:1746-1750.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

STUDY

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

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